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Knee Intercondylar Fracture Treatment, Closed

South Carolina rates for HCPCS 27538

This treatment addresses a fracture at the top of the shinbone where knee ligaments attach, sometimes called a tibial spine fracture. The break is treated without opening the knee, using a cast, brace, or gentle manipulation of the joint from outside the skin to allow the bone fragment to heal in position. It is most common after a twisting injury to the knee, especially in children and teenagers.

Rates data updated July 2026.

How much does Knee Intercondylar Fracture Treatment, Closed cost?

$1,189

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $1,189 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $676 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$447 to $589
Facility feeThe hospital or surgery center$676$525 to $4,677

How much rates vary

Facilitymedian $676 · 10th to 90th $407 to $9,772Professionalmedian $513 · 10th to 90th $398 to $851
$50.0$200.0$1.0K$5.0K$20.0Kfacility $676professional $513

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$478.63
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,122.02
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$776.25

Where South Carolina sits

The same service costs 9.6 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeSouth Carolina $1,189 · 43rd of 49
NJ $5,860MD $613

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.